Julia D.S. Snow (1891-1984), a Greenfield, Massachusetts, resident wore this Army School of Nursing uniform during World War I. The dress uniform was used for formal occasions and travelling. In May, 1918, just over a year after the United States entered World War I, the Army School of Nursing was created to meet the needs for nurses and to bolster the system of using nurse's aides in Army hospitals. Annie Goodrich became the first Dean of the Army School. Although these nurses wore a collar symbol of a lamp superimposed over the caduceus and had Army-regulation buttons on their uniforms, implying a soldiers' status, these women remained officially civilian. By December, 1918, there were 1,578 students in the program. Julia Snow was a volunteer student nurse at the Army training school of the Walter Reed Hospital in Washington, D.C., from 1918 to 1919, then a laboratory technician until 1921, when she returned to Greenfield.